You have
been selected by the Federal Government for verification of your household size
and number in college.Please complete
the following form on page two.Once you
have entered the necessary information online, you will need to print the form,
provide all required signatures and return it to the CCC Financial Aid
Office.Additional information may be
requested.

Please
follow these instructions when completing your Household Size and Number in
College Form

Independent
Student:List the people in your household; include

·yourself

·your spouse, if
married

·your unmarried
spouse if living together

·a partner who is
financially contributing to your household

·your children, if
you will provide more than half of their support from July 1, 2014 through

June 30, 2015
people.Do not include your children if
they are being claimed as a dependent on your parents’ tax return.

·any other people if they now live with you and you
provide more than half of their support and will continue to provide more than
half of their support from July 1, 2014 through June 30, 2015.

Dependent
Student:List the people in yourparent’s household; include

·yourself

·your parent(s),
if married

·ifthe legal parent whose information you
reported on the FAFSA is remarried, stepparent information should be included
on this form and on your FAFSA

·your noncustodial
parent only if they live in your household

·your parents’
other children, if your parents will provide
more than half of their support between July 1, 2014 through June 30, 2015

·any other people if they now live with your parents, and
your parents will provide more than half of their support and will continue to
provide more than half of their support between July 1, 2014 through June 30,
2015.

Complete the
box below.Include everyone in your
household as described in the instructions.

Write in the
name of the college for any family member who will be attending college at
least half-time between July 1, 2014 and June 30, 2015.

Full Name

Age

Relationship
to Student

College

Example: Cathy Money

24

Wife

City University

Certification

I certify that the above information is true and
complete.I understand that failure to
accurately report information may jeopardize my eligibility for financial
aid.I also understand that the U.S.
Department of Education has the authority to verify information reported on the
FAFSA with the Internal Revenue Service and other federal agencies.I understand that giving false or misleading
information may lead to fines up to $20,000, prison or both.